Looking for a Physician?

Our physician hospital organization, Covenant HealthCare Partners, has the right doctor for you. Use the search function to the right or call 1.866.COVENANT (1.866.268.3626) for assistance. 24 hours a day, 7 days a week.

To select one of the extraordinary employed physicians from the Covenant Medical Group, just select the Covenant Medical Group Physician box when you search. To learn more about Covenant Medical Group, click the box below.

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Covenant Medical Group Physician

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Covenant HealthCare Foundation

How You Can Help

Sponsorship Request Form

Sponsorship Request Form

* First Name

* Last Name

* Address

* City

* State

* Zip Code

* Phone Number

* Email

* Which business/organization are you affiliated with?

* Please provide the sponsorship opportunities available.

Attach a request form, if possible.

* What date must the funds be received by and/or what is the date of the event?

* Please provide a brief description of your group or agency.

* What is your 501c3 tax ID?

* How were you informed of this application/funding process?

* Are you connected with Covenant HealthCare in any way?

Yes
No

If yes, please describe your connection to Covenant.

* What is the title of the event or project the funds will be used for?

* Please provide a brief description of your event or project, 50 words or less.

* What are the goals of this project/event?

* What measurable data can be expected as a result of this project/event?

If applicable, how do you plan to measure the outcomes/results?

* Scope of Impact: How many patrons/guests will the project/event serve?

* How does this project/event align with the mission, vision, values and strategic priorities of Covenant HealthCare?

* Does this project/event promote and/or improve community health, wellness and disease prevention?

* Does this project/event promote community growth and neighborhood development?

Does this project/event address any current health issues, needs and goals as outlined in the Community Health Needs Assessment (CHIP)?

* Will other individuals or agencies be providing funding towards implementation of this project/event?

* Is any additional support being requested of Covenant HealthCare? (Volunteers, Speakers, Promotional Items, Displays, etc.)

Yes
No

If yes to additional support, please describe.

* Are there any incentives included with the sponsorship? (Tickets, Advertising, etc.)